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目的:探讨巨大肾上腺海绵状血管瘤的临床特点,提高诊治水平。方法:分析1例巨大左侧肾上腺海绵状血管瘤患者的临床资料,并复习文献。结果:巨大肾上腺海绵状血管瘤女性多见,以肿块压迫症状、可触及包块、良性、非功能性为特点,体积大,易出血,MRI有典型特征。结论:巨大肾上腺海绵状血管瘤易误诊,其非功能性特点及MRI影像学特征有助于诊治,肿瘤越大,手术风险越高,切除肿瘤是治愈本病的关键。
Objective: To explore the clinical features of giant adrenal cavernous hemangioma and to improve the diagnosis and treatment. Methods: One case of left adrenal cavernous hemangioma was analyzed retrospectively. Results: Giant adrenal cavernous hemangioma more common to women, the symptoms of mass compression, palpable mass, benign, non-functional features, bulky, easy bleeding, MRI has typical features. CONCLUSION: Giant adrenal cavernous hemangioma is easily misdiagnosed, and its non-functional features and MRI features are helpful for diagnosis and treatment. The larger the tumor, the higher the surgical risk, and the removal of the tumor is the key to cure this disease.